“…After careful and thorough reading, 4 articles have been again excluded for the following reasons Full text article not available (1), Not from South India (1), Study on Families of BC patients (1), and educational intervention on screening (1). Finally 16 articles have been selected for the qualitative synthesis (Gajalakshmi and Shanta, 1991;Nandakumar et al, 1998;Yeole and Kurkure, 2003;Kuraparthy et al, 2007;Ali et al, 2008;Mathew et al, 2008;Syamala et al, 2008a;2008b;Dey et al, 2009;Jayalekshmi et al, 2009;Syamala et al, 2009;Vaidyanathan et al, 2009;Harrison et al, 2010;Surekha et al, 2010;Chauhan et al, 2011) Methodological qualities of included studies: Out of 16 included studies 10 were Case studies, 1 Nested case control study (on a cohort of women), 4 studies were based on Secondary data analysis and 1 (Marmot et al, 2007) was cross-sectional study. Confounding factors were reported and adjusted in 2 out of 10 case control studies, mentioned and not controlled in 3 studies and not mentioned in rest of the studies.…”